Arrhythmias & electrophysiology

Genetic testing for inherited arrhythmia syndromes and cardiomyopathies: results of the European Heart Rhythm Association survey

EuropacePublished Cross-sectional study

Authors' conclusion

This survey highlights a significant heterogeneity of genetic testing access and provision and issues attributable to the availability of dedicated unit/genetic laboratory and reimbursement. However, adequate adherence to indications in the current recommendations for genetic testing in patients with cardiac diseases was observed.

Study context

Population
Physicians across ESC countries (European Heart Rhythm Association (EHRA) Research Network and ERN GUARD-Heart partners)
Participants
357 physicians · 69 countries
Outcome
Current clinical practice and access to genetic testing for cardiac diseases, and adherence to the 2022 EHRA/HRS/APHRS/LAHRS Expert Consensus Statement
Methodological detailsphysician-based survey, online questionnaire, Online questionnaire of 28 questions
  • Physician-based survey
  • Online questionnaire
  • Online questionnaire of 28 questions

Main finding

As reported in the abstract

Hospital with cardiac genetic service and/or inherited cardiac disease clinic
40%
Onsite genetic laboratory
27%
No genetic testing or low annual rate (<10/year)
39%
Issues or limitations to genetic testing access
78%
Reason: no dedicated unit or genetic laboratory
35%
Reason: reimbursement issues
25%
Most frequent indication: diagnostic purpose
55%
Genetic testing preceded by genetic counselling
92%
Regular multidisciplinary evaluations
42%
Perceived diagnostic value
67%
Perceived prognostic value
39%
Perceived therapeutic value
29%

Observational data: associations, not effects.

Original publication

Genetic testing for inherited arrhythmia syndromes and cardiomyopathies: results of the European Heart Rhythm Association survey. Europace. Published 16 August 2024. doi:10.1093/europace/euae216

Summarised from the published abstract; every number is checked against it

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